UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI# 1760921894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760921894 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Practice Address |
764 Lakeland Dr 2nd Floor Jackson MS 39216-4651 |
| Practice Telephone | 6019846800 |
| Practice Fax Number | 6019846812 |
| Mailing Telephone | 6019846800 |
| Mailing Fax Number | 6019846812 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | KATHERINE STACHOWICZ (FAMILY MEDICINE RESIDENT PHYSICIAN) |
| Authorized Official Telephone | 6019846800 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | T-3218 | MS | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1659803948 | University of Mississippi Medical Center | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2017-03-28 |
| 1376098327 | University of Mississippi Medical Center | Health Maintenance Organization | 2500 N State St, Jackson, MS 39216-4500 | 2016-08-19 |
| 1093149411 | University of Mississippi Medical Center | Chronic Disease Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2013-08-22 |
| 1235368663 | University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-07 |
| 1619131075 | University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2008-07-15 |
| 1427235076 | University of Mississippi Medical Center | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2008-01-25 |
| 1134329923 | University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-07-20 |
| 1487858452 | University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-06-13 |
| 1174725972 | University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2007-06-04 |
| Street Address |
764 LAKELAND DR 2ND FLOOR |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890179 | Fred Blackledge | Plastic Surgery | 764 Lakeland Dr, Jackson, MS 39216-4617 | 2005-12-02 |
| 1669098794 | Chin-qune Oliver Yeung Lai Wah | Family Medicine | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2020-06-24 |
| 1952936908 | Daniel Marshall Mcclung Jr. | Internal Medicine | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2020-03-10 |
| 1588161392 | Sarah Ann Champagne | Student in an Organized Health Care Education/Training Program | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2018-04-09 |
| 1821595646 | Catherine Ifeyinwa Chokuba | Student in an Organized Health Care Education/Training Program | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2018-04-09 |
| 1710484894 | Danish Ather | Student in an Organized Health Care Education/Training Program | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2018-04-06 |
| 1871094110 | John Kenneth Lippincott | Ophthalmology | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2018-02-22 |
| 1336677624 | Wendy Nicole Marino | Otolaryngology | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2017-05-31 |
| 1467984146 | Moses Braimoh | Student in an Organized Health Care Education/Training Program | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2017-03-31 |
| 1124550819 | Chinedu Ifejiagwa | Student in an Organized Health Care Education/Training Program | 764 Lakeland Dr, Jackson, MS 39216-4651 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| 1073588034 | Carelink of Jackson, A Community-owned Specialty Hospital | General Acute Care Hospital | 110 N. Elm Avenue, Jackson, MI 49202-3595 | 2006-02-22 |
| 1629475348 | Mallory Miller | General Acute Care Hospital | 620 Skyline Dr, Jackson, TN 38301-3923 | 2014-11-24 |
| 1861833535 | University Hospital | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2013-07-10 |
| 1730480120 | Mississippi Baptist Medical Center, Inc. | General Acute Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2010-11-16 |
| 1497068639 | W.a. Foote Memorial Hospital | General Acute Care Hospital | 205 N East Ave, 7th Floor One Jackson Square, Jackson, MI 49201-1753 | 2010-07-16 |
| 1538472964 | The University of Mississippi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2010-07-14 |
| 1033349501 | University of Mississipi Medical Center | General Acute Care Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-20 |
| 1447494323 | Sutter Valley Hospitals | General Acute Care Hospital | 200 Mission Blvd, Jackson, CA 95642-2564 | 2009-04-23 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.